Russell Wade Stephan in Fort Myers - Physical Therapist
Russell Wade Stephan - NPI 1124191226
Russell Wade Stephan is a Physical Therapist in Fort Myers, Florida. Russell Wade Stephan practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Russell Wade Stephan is 1124191226. The last update date is 2007-07-08.
Russell Wade Stephan's current location address is 9371 Cypress Lake Dr, Fort Myers, Florida. You can contact this provider via phone number 2394152595 and fax number 2394152597. The mailing address for Russell Wade Stephan is 9371 Cypress Lake Dr, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Wade Stephan |
|---|---|
| Address | 9371 Cypress Lake Dr, Fort Myers, Florida |
| Phone Number | 2394152595 |
| Fax Number | 2394152597 |
| Sole Proprietor | N |
| Credentials | MSM MPT |
NPI Number Detail
| NPI Number | 1124191226 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9371 Cypress Lake Dr |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339194939 |
| Phone Number | 2394152595 |
| Fax Number | 2394152597 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT20296 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Russell Wade Stephan by the Centers for Medicare & Medicaid Services?
The Russell Wade Stephan has been issued the NPI (National Provider Identifier) 1124191226 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Russell Wade Stephan's facilities are situated?
The facilities of Russell Wade Stephan are physically located at the following address: 9371 Cypress Lake Dr, Fort Myers, FL, 339194939.
What is the area of specialization for Russell Wade Stephan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell Wade Stephan is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124191226 to Russell Wade Stephan?
The Centers for Medicare & Medicaid Services assigned the 1124191226 to Russell Wade Stephan on 2006-11-16.
As of what date were the details pertaining to Russell Wade Stephan last refreshed?
The information related to the Russell Wade Stephan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.